Laserfiche WebLink
JUL 30 2004 11 : 40RM HP LRSERJET 3200 p. 8 <br /> ;.'form ApprovedOfgB No.2050.0W..W itkpires.Y-:SU-YSl ueo tn"U!F4EEfOn3 an' c.A os E7 Department ofTo)c c Substances cont <br /> glapse pFint or typen,Famr defignedforrrse an al)fe E1Z• A;tt( tar i1 Calikrrnia <br /> 3perarnenfo;. <br /> �t'���y}}}ow <br /> �ly+� nerahgc�9 ( (D• py? ; tN6.77 2 Page i. (nfarmcHan fn the shadtad�aas. <br /> yy•qqpA C ,.pAi,p' pp4T in not regyirec 6y Fodgral law. <br /> . �. Gmasasatodi Ivkjme and'Ma7(n9•Addria's ' "�' - .' <br /> 2 , <br /> «... as <br /> N S.Transporter C.ompanyMma d.'US'EPAIDt� es, <br /> T, r��orter paert me B $ A um Jr <br /> 9, designated gactluX Naim and'Site Address I.C. us ePA ID Member <br /> 11 l!9®QTDesciapNonjncb{dinq Prgpor*Ippinq Nafh Hdmrd C1oas and`10 N6m6er( 72 C'orth>;nas 13. ToiPl 9k. Unit <br /> Y ® Quantity "Nol <br /> w. FS mm— ILI <br /> #' <br /> 44 ' 77V7777 <br /> c, k S i 'ter � t •n o:Y .. <br /> � t&. ' F;�IoridGieQtr('strrdct(mrw«id'tid rtigaellxiormotPan. <br /> t?g S'CERA( I dac4pre that. confedta of th{s coat i tiatent are <br /> vN Iia ally deribadabove�(sy Pna{rsrshipng name and ort e[a <br /> 5Ra a jrrttdaaki�iEd'artd ai+e.ifi a E r®3pa s,in ysmpors�aadl�4grt;fpr tra(t <br /> rt. ee 'ta•got! <br /> ck Ig intorno aril rPiond emmont re u <br /> sjro 4Y hLghwuP <br /> FONAIV 9°� 9• <br /> If S 4 a la►gP,quenrtffYaarataeb I'eerltfy thaf 1 ha re a prggroar ip p b.reds® luna.grid iagaaity p�xrasfd generated to the dogreo I hrvo nninad tblm eeanom, <br /> 'glad tkatI have eeiseta!14 cHea66 meibod of treatment sfawgq or s (aar¢ierbt avaiw, a me which ntfnimizos tboppresenf.pnd future ibr®aft®'hctrrre <br /> ami ties®tprt{arritietit, rf i,apt a sm¢ uanA7(r.garie nfar;`I(e qp a'peed fault tg itiinimlaa:rnyc wpste geassn gn and mleef the hest tete managatn¢At ptei fha2 to ' <br /> .� a+�r-lc�m!?+�ons}Iht>rlcQn•nffoid, . <br /> tr, <br /> Erin <br /> Z <br /> rtei f om® of Ntaleria(s r <br /> 5igttlMurt. . n D . <br /> tt ifat rtes 2 ant' WA t Jylaleri s. <br /> ts,Ts� )T ','• - .k '' s'` .r, .w,'. s otisro ''y Month y Yeor <br /> INB Rrp °^ vx' A $, 'g`dm R.: r°.p""'o•&A� F Aar. a �p <br /> -M <br /> 20. r Ourriiir or "cetlas of rec of fiaiz dans mate`d .covered a st t.as" 0,1hure 19: <br /> Pr: Naps Si ... s Day Yea <br /> �•. <br /> Dm;N'CYf WRITE'aE ,�W;TBls <br /> :,:`• ::YelfawP&D> Sa=Pd4SH(S COPY TO GENERATOR WITM(N'30 DAV"s.- <br /> P {C Pieraiars a submit hazardous waste,for ironsport attEof state, ai <br /> "(#pq pr�dyde.completed copy of this copy end send to•QTSG within 30,days,p j: <br />